Rombold, Rick D
Rombold, Rick D is an individual health care provider with primary practice located at 50 Waterford Pike , Brookville PA 15825-2518. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rombold, Rick D can be contacted via phone (814) 849-8344.Contact Information
Primary practice address
50 Waterford Pike
Brookville PA 15825-2518
Phone: (814) 849-8344
Fax: (814) 849-7130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG000749 | Pennsylvania |
Profile Details
| NPI number | 1588655260 |
|---|---|
| LBN Legal business name | Rombold, Rick D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | May 4th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588655260 | NPPES |
| Other | 410004658 | RR MEDICARE INDIVIDUAL | |
| Other | CF3515 | RR MEDICARE INDIVIDUAL | |
| MEDICAID | 0015869100001 | RR MEDICARE INDIVIDUAL |
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